首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Surgical treatment of intraductal papillary-mucinous tumor (IPMT) of the pancreas: operative indications based on surgico-pathologic study focusing on invasive carcinoma derived from IPMT.
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Surgical treatment of intraductal papillary-mucinous tumor (IPMT) of the pancreas: operative indications based on surgico-pathologic study focusing on invasive carcinoma derived from IPMT.

机译:胰腺导管内乳头状粘液性肿瘤(IPMT)的外科治疗:基于外科病理学研究的手术指征,重点是IPMT引起的浸润性癌。

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Background/Purpose. Between 1979 and 2000, 51 patients with intraductal papillary-mucinous tumor (IPMT) of the pancreas underwent surgical resection. Methods. The patients were reviewed to disclose the surgical pathology of invasive carcinoma derived from IPMT and to determine the surgical indications for IPMT on the basis of the pathologic findings. Results. The incidence of invasive carcinoma derived from IPMT according to the localization of the tumor was as follows: 4/9 (44%) in the main pancreatic duct (MPD type), 4/9 (44%) showing ductal spread from the MPD to branch ducts (mixed type), and 2/33 (6%) in the 2 branch duct (branch type). The maximal size of the intraductal spread of invasive carcinomas (8 of 18 cases in the MPD and mixed type together and 2 of 33 cases in the branch type) was as follows: 6/8 (75%) in the MPD and mixed type were over 6 cm in size, and the 2-branch-type invasive carcinomas were within the 3-cm size range. Conclusions. We concluded that for both invasive and noninvasive IPMTs, surgical resection was necessary for any MPD or mixed-type IPMTs, and that surgical resection was appropriate for branch-type lesions larger than or equal to 3 cm in diameter, or for lesions smaller than 3 cm showing rapid growth on clinical images.
机译:背景/目的。 1979年至2000年之间,对51例胰管内乳头状粘液性肿瘤(IPMT)患者进行了手术切除。方法。对患者进行了检查,以揭示源自IPMT的浸润性癌的手术病理,并根据病理发现确定IPMT的手术适应症。结果。根据肿瘤的位置,IPMT引起的浸润性癌的发生率如下:主胰管(MPD型)中的比例为4/9(44%),从MPD到PD的导管分布为4/9(44%)。支管(混合型),以及2支支管(支管型)中的2/33(6%)。浸润性癌的导管内扩散的最大大小(MPD和混合型18例中有8例,分支型33例中有2例):MPD和混合型中6/8(75%)是超过6厘米的大小,而2分支型浸润癌的大小在3厘米之内。结论。我们得出的结论是,对于有创和无创IPMT,对于任何MPD或混合型IPMT都必须进行手术切除,并且对于直径大于或等于3 cm的分支型病变或小于3的病变,手术切除是合适的cm在临床图像上显示出快速增长。

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